Join JPA

Application for Membership
Special Introductory Offer!

By completing this form, you are requesting admittance to membership in the Juice Products Association, Inc., (JPA) under the special trial program, subject to approval of the Membership Committee and JPA Board of Directors.

For a hard copy of the application or if you prefer to pay by check, please click here.

All fields with an asterisk (*) are required.

Company Name*

Designated Representative:*

Address 1:*

Address 2:

City:*

State:*

Zip:*

Country:*

Office Phone:*

Fax:

Email:*

Website:

Additional Representatives:

Name:	Email:	Phone:
Name:	Email:	Phone:
Name:	Email:	Phone:

If your company is a subsidiary or division of another company, please provide name of parent company.

*Please describe briefly the major products and/or services your company provides

Please check the corresponding box of the member type for which you are applying:*

Regular Annual Dues: ~~$4,250~~
Introductory Offer: $500

Associate Annual Dues: ~~$3,750~~
Introductory Offer: $500

What JPA membership benefits do you expect your company will use?

Indicate all that apply:
Networking opportunities at JPA meetings
Increasing company visibility in the industry
Marketing products and services
Identifying suppliers
Obtaining technical information
Obtaining regulatory and legislative updates
Other

If a JPA member referred you to us, please provide the name of the individual and the organization here:
Name:

Company Name:

Payment:

*Credit Card Type:
*Cardholder Name:	*Card #:
*Expiration Date (mm/dd/yyyy):	*CVV/CVC Number:

*Does the billing address for the card match the address above?
Yes | No

If not, please enter it below.

Name on Card

Address 1:

Address 2:

City:

State:

Zip:

Country:

Office Phone:

Email:

Please carefully read the following Terms and Conditions:

Payment for entire introductory membership fee must accompany this application. Upon approval of membership application, dues will cover membership for a period of one full year, after which time new members will be invoiced for the full dues at a pro-rated amount for the remainder of the 2011 calendar year.

Please note: Under this introductory offer, new members are granted the privileges of attending our Annual and Fall Business Meetings, joining JPA committees and sections, and participating in committee conference calls and activities. Members under this trial program do not have voting rights within the organization until they have renewed for the following year.

I have read the Terms and Conditions. *

QUESTIONS?
Brandon Corbett
JPA Staff
(202) 785-3232
bcorbett@kellencompany.com

Kathleen Chiappone,
Membership Committee Chair
(407) 423-8770
kathleen.chiappone@wellsfargoadvisors.com

Save the Date

JPA 2010
Fall Business Meeting
November 8-9, 2010
The Adolphus Hotel
Dallas, TX